Individual
MR. ANTHONY DIMITRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
589 FRANKLIN TPKE STE 8A, RIDGEWOOD, NJ 07450-1928
(609) 401-2983
Mailing address
589 FRANKLIN TPKE STE 8A, RIDGEWOOD, NJ 07450-1928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
098451
NY
1041C0700X
Clinical Social Worker
Primary
44SC05864000
NJ
Other
Enumeration date
08/29/2016
Last updated
08/26/2019
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